Nursing

District Page

Immunizations

• Immunization Requirements
• Medical Exemption Form
• Religious Exemption Form
• Immunization Requirements for 7th Grade Students

Prescription & Over-the-Counter Medication Forms

• Parent/Guardian & Healthcare Provider Prescription Medication Form – Nurse/Staff to Administer Prescription Medication
• Medication Form #2: Parent/Guardian & Healthcare Provider Prescription Medication Form (Student Self-Administers Prescription Medication with Staff Supervision)
• Parent Medication Form – Over-the-Counter/Non-Prescription Medication with Staff Supervision (No Healthcare Provider Signature Necessary)

Students with Type 1 Diabetes

• Diabetes Medical Management Plan
• DMMP Order Update Form

Students with Asthma and Allergies

• Asthma Care Plan
• Consent to Carry and Administer Asthma & Allergy Medication
• Anaphylaxis Emergency Care Plan Part 1
• Anaphylaxis Emergency Care Plan Part 2
• Bee Sting & Allergy Emergency Care Plan

Students with Seizures

• Parent/Guardian & Healthcare Provider form: Emergency Seizure Care Plan

School Lice Policy and Bed Bug Policy

Head Lice Information Handbook

From Laurel Elementary Schools’ Handbook:

When a student is confirmed to have live lice by the school nurse:

1. The parent is notified and information related to detection and elimination of head lice provided in written form. Head Lice Info Sheet
2. The student is not sent home from school, however if the parent offers to pick up the student, that is acceptable.
3. The parent is instructed that the student should be treated and reexamined before returning to the classroom. See school nurse schedule for location of school nurse on duty.

Upon re-examination, if lice and/or nits are found, the parent is notified to keep nit-picking and combing (at least daily per day for the next two weeks.)

When a student is found to have nits present (no live lice detected):

1. The parent is notified and encouraged to nit-pick and comb (at least daily for two weeks)
2. The student is not sent home from school.
3. If future checks reveal an increased number of nits present, the parent will be contacted for follow-up and support.

When to check beyond the identified student with live lice or nits:

If live lice or nits are detected in a student, it is best practice to:

1. Determine if the student has siblings. If yes, then check the siblings in the immediate school.
2. If the student has other siblings (not in the immediate school building), notify the parent/guardian of the advisability of checking family members and taking precautionary measures to avoid family infestation.
3. Full classroom screenings for head lice are NOT routinely done. In some cases, the school nurse may use her professional judgment on an individual basis regarding further screenings.

“Studies have shown that control measures such as, mass screenings for nits, have not been shown to have a significant effect on the incidence of head lice in a school community, nor have they shown to be cost-effective” (Devore et al. 2015; Meinking & Taplin, 2011 CDC 2013a)

• Head Lice Info Sheet
• Bed Bug Policy

Illness Policy

Health Forms for School Staff

Forms for Staff Use & Medication Policies

• Head Injury Report Form
• Accident Report Form
• Medication Logs for Documentation
• Procedure for Completing Medication Log & Sample Medication Log
• LPS Medication Policy 3416
• Six Rights of Medication Administration
• Procedure for Medication Errors
• Medication Error Reporting Form

Emergency Resources

Algorithms for School Emergencies

• C1 Algorithm Allergic Reaction
• C2 Algorithm Asthma Wheezing Breathing Difficulty
• C3 Algorithm Diabetes
• C4 Algorithm Seizures